International Adoptees With Cleft Lip and/or Palate: Lessons Learned From a Growing Population
Background: International adoptees with cleft lip and palate (CLP) are a growing population in the United States. They represent a clinical challenge, presenting at various ages and stages of cleft repair. Methods: A retrospective review of patients seen at the CLP Program at the Children's Hospital of Philadelphia (CHOP) between 1998 and 2012 with a history of international adoption was performed. Demographics, surgical histories, and long-term speech outcomes were reviewed. Results: Seventy-four female and 77 male patients were evaluated. Patients were adopted at an average age of 2.3 years (range, 0.4–8.6 years)...
Source: Annals of Plastic Surgery - September 16, 2016 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Text and Context Source Type: research

Book Review
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - September 16, 2016 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Text and Context Source Type: research

The Laser Test Patch: Principles and Philosophy to Maximize Efficacy and Reduce Complications and Scarring From Laser Treatments
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - September 16, 2016 Category: Cosmetic Surgery Tags: Editorial Source Type: research

Re: Effectiveness of a Novel Augmented Reality-Based Navigation System in Treatment of Orbital Hypertelorism
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - August 13, 2016 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Re: Functional and Therapeutic Indications of Liposuction: Personal Experience and Review of the Literature
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - August 13, 2016 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Systematic Reviews in Craniofacial Trauma—Strengths and Weaknesses
Conclusions: A tremendous opportunity exists for improvements in the quality of SRs focusing on craniofacial trauma. In addition to familiarizing authors with quality criteria for SRs, adoption of strict reporting criteria by scientific journals may result in long-term improvements in the quality of reporting. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - August 13, 2016 Category: Cosmetic Surgery Tags: Review Paper Source Type: research

Adipose Stromal Vascular Fraction Isolation: A Head-to-Head Comparison of 4 Cell Separation Systems #2
Conclusions: There was considerable variability between the outputs of each system. The system used by a clinician should be tailored to the individual needs of the practice. There is a range of cost options available. This study may help clinicians make more educated decisions when choosing an isolation system to meet their clinical needs. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - August 13, 2016 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research

Botulinum Toxin Type A Inhibits α-Smooth Muscle Actin and Myosin II Expression in Fibroblasts Derived From Scar Contracture
This study aimed to explore the effect of BTXA on α-SMA and myosin II expression in fibroblasts derived from SC and to elucidate its actual mechanism further. Methods: Fibroblasts were isolated from tissue specimens of SC. Fibroblasts were cultured in Dulbecco modified Eagle medium with different concentrations of BTXA and their proliferation was analyzed through the tetrazolium-based colorimetric method at 1, 4, and 7 days. Proteins of α-SMA and myosin II were checked using Western blot in fibroblasts treated with different concentrations of BTXA at 1, 4, and 7 days. Results: Fibroblasts without BTXA treatme...
Source: Annals of Plastic Surgery - August 13, 2016 Category: Cosmetic Surgery Tags: Research Source Type: research

What Effect Does Self-Citation Have on Bibliometric Measures in Academic Plastic Surgery?
Background: Research productivity plays a significant role in academic promotions. Currently, various bibliometric measures utilizing citation counts are used to judge an author's work. With increasing numbers of journals, numbers of open access publications, ease of online submission, and expedited indexing of accepted manuscripts, it is plausible that an author could influence his/her own bibliometric measures through self-citation. The purpose of this study was to determine the impact of self-citation in academic plastic surgery. Methods: A cohort of full-time academic plastic surgeons was identified from 9 U.S. plasti...
Source: Annals of Plastic Surgery - August 13, 2016 Category: Cosmetic Surgery Tags: Research Source Type: research

Reverse Radial Artery Flap Perforator Anatomy and Clinical Applications
Abstract: The pedicled reverse radial forearm flap is a well-known option for the treatment of a variety of soft tissue wounds including dorsal hand wounds. We document the number, emerging diameter, length from origin, course, and location of all perforators of the radial artery in a series of 6 fresh human cadavers after whole body lead oxide and gelatin injection to confirm and comprehensively document the anatomy of the radial artery perforators. This data provide an anatomic basis for a modification to the reversed radial forearm flap used to decrease venous congestion in the postoperative period. Two case reports are...
Source: Annals of Plastic Surgery - August 13, 2016 Category: Cosmetic Surgery Tags: Research Source Type: research

Redefining the Vascular Classifications of the Lateral Supramalleolar Flap
Conclusions: In addition to the perforating branch of the peroneal artery, the LSMF may also receive blood from the anterior tibial artery through the collateral inferolateral branch. New modified proximally based flaps could be designed, and caution is warranted for these variations when a distally based flap is performed. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - August 13, 2016 Category: Cosmetic Surgery Tags: Research Source Type: research

Operative Treatment of Lymphedema Using Suction-Assisted Lipectomy
Conclusions: Suction-assisted lipectomy is an effective technique to reduce extremity volume for patients with lymphedema. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - August 13, 2016 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

An Application of Keystone Perforator Island Flap for Closure of Lumbosacral Myelomeningocele Defects
This article evaluates the short-term and long-term outcomes of these patients who were followed up for 10 to 66 months. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - August 13, 2016 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

The Pacman Perforator-Based V-Y Advancement Flap for Reconstruction of Pressure Sores at Different Locations
Conclusions: The V-Y Pacman perforator-based advancement flaps are safe and very effective for reconstruction of pressure sores at various regions. The advantage of our modification procedure include shorter operative time, lesser pedicle dissection, low donor site morbidity, good preservation of muscle, and offers remarkable excursion to the V-Y flap, which make the V-Y Pacman perforator-based flaps an excellent choice for large pressure sore coverage. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - August 13, 2016 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

The Role of Botulinum Toxin A in the Treatment of Raynaud Phenomenon
Abstract: Raynaud phenomenon (RP) is a transient digital ischemia that occurs after exposure to cold temperature or emotional distress. It presents with a triphasic course: the initial white phase is followed by cyanotic discoloration and, subsequently, erythema. The attacks may be associated with pain, paresthesia, and complicate with nonhealing ulceration often leading to amputation. To date, there are no clear-cut therapeutic guidelines and many medications are used off-label. Encouraging results were reported with the use of botulinum neurotoxin-A (BoNT-A). However, there is still ongoing debate regarding indications, ...
Source: Annals of Plastic Surgery - August 13, 2016 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

Miniplates Versus Reconstruction Bars for Oncologic Free Fibula Flap Mandible Reconstruction
Discussion: Different from other reports in the literature, we show that miniplate use resulted in more hardware removal for infection or persistent symptoms, and this was statistically significant while controlling for patient demographics, risk factors, number of osteotomies, and defect length. Much like other reports in the literature, however, there is no statistically significant difference in overall complication rates, and all other specific complications, when using miniplates versus reconstruction bars. The decision to use miniplates versus reconstruction bars remains a clinical one. In our experience, for 0 to 1 ...
Source: Annals of Plastic Surgery - August 13, 2016 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Autologous Fat Grafting With Combined Three-Dimensional and Mirror-Image Analyses for Progressive Hemifacial Atrophy
Conclusion: The facial symmetry of patients with centered FMP can be successfully restored using serial AFG alone. The combined 3D and MIA can be used to predict the volumetric deficiency of soft tissues and objectively evaluate the survival of grafted fat. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - August 13, 2016 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Maxillomandibular Fixation by Plastic Surgeons: Cost Analysis and Utilization of Resources
Purpose: Maxillomandibular fixation (MMF) can be performed using various techniques. Two common approaches used are arch bars and bone screws. Arch bars are the gold standard and inexpensive, but often require increased procedure time. Bone screws with wire fixation is a popular alternative, but more expensive than arch bars. The differences in costs of care, complications, and operative times between these 2 techniques are analyzed. Methods: A chart review was conducted on patients treated over the last 12 years at our institution. Forty-four patients with CPT code 21453 (closed reduction of mandible fracture with interd...
Source: Annals of Plastic Surgery - August 13, 2016 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Conservative Treatment Is Sufficient for Acute Distal Radioulnar Joint Instability With Distal Radius Fracture
Abstract: Treatments for acute distal radioulnar joint (DRUJ) instability with distal radius fracture vary from conservative to operative treatment, although it seems to be no consensus regarding which treatment is optimal. This prospective randomized study was designed to compare the clinical outcomes for operative and conservative treatment of acute DRUJ instability with distal radius fracture, according to the presence or absence and type of ulnar styloid process fracture and the degree of its displacement. Between July 2008 and February 2013, we enrolled 157 patients who exhibited an unstable DRUJ during intraoperative...
Source: Annals of Plastic Surgery - August 13, 2016 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

Factors Affecting Burn Contracture Outcome in Developing Countries: A Review of 2506 Patients
This study assesses factors that impact burn contracture resolution in developing nations. Methods: A retrospective review of 2506 burn contractures was performed using information extracted from a large nongovernment organization (ReSurge International) database from Nepal, India, and Zambia. Data points included age, type of burn, time elapsed between injury and release, and extent of final release achieved based on preoperative and postoperative images of hand (n = 1960), elbow (n = 371), and knee (n = 176) contractures. Hand improvement was scored based on digit/wrist involvement (severity of dysfunction) and joint ex...
Source: Annals of Plastic Surgery - August 13, 2016 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research

Autologous Fat Grafting to the Breast Using REVOLVE System to Reduce Clinical Costs
Background: With the increasing popularity of fat grafting over the past decade, the techniques for harvest, processing and preparation, and transfer of the fat cells have evolved to improve efficiency and consistency. The REVOLVE System is a fat processing device used in autologous fat grafting which eliminates much of the specialized equipment as well as the labor intensive and time consuming efforts of the original Coleman technique of fat processing. This retrospective study evaluates the economics of fat grafting, comparing traditional Coleman processing to the REVOLVE System. Methods: From June 2013 through December...
Source: Annals of Plastic Surgery - August 13, 2016 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

One-Step Salvage of Infected Prosthetic Breast Reconstructions Using Antibiotic-Impregnated Polymethylmethacrylate Plates and Concurrent Tissue Expander Exchange
Conclusions: Sustained local antibiotic delivery using PMMA implants and expander device exchange can successfully salvage an infected breast implant. Perceived benefits include shorter time to completed reconstruction, preserved skin envelope integrity, and possibly improved long-term aesthetic outcomes. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - August 13, 2016 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Buttock Reshaping With Intramuscular Gluteal Augmentation in an Asian Ethnic Group: A Six-Year Experience With 130 Patients
Abstract: Although the definition of what constitutes “beautiful buttocks” has been changing with time, the buttocks are generally perceived as an important element of sexual attraction and beauty in every culture. In Asian culture, “beautiful buttocks” are defined by an aggregate of the following 4 components: S-shaped curvature from the lower back to the buttocks, sufficient muscle volume, sufficient fat volume, and appropriate skin elasticity. The goal of our gluteal augmentation was therefore to restore the back curvature, provide sufficient hip volume (projection), and reposition the point of m...
Source: Annals of Plastic Surgery - August 13, 2016 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

Tip-Oriented Closed Rhinoplasty Built on Septocolumellar Suture and a New Caudal Septal Graft Technique
Conclusions: The septocolumellar suture combined with caudal septal graft in closed rhinoplasty substantially facilitates the achievement of a cosmetically and functionally pleasing end result, bringing the solution for a wide array of problems such as short nose, supratip deformity, nasolabial angle change, or columellar bowing. Nevertheless, the technique has a steep learning curve; therefore, a meticulous preoperative evaluation should be exerted, a precise surgical planning should be prosecuted, and an excessive reduction of the nasal tip or exaggerated columellar retraction should be avoided. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - August 13, 2016 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

Course Review: North East Microsurgery Training Course and Workshop: A New Two Day Microsurgery Course for Trainees in Plastic Surgery, Otolaryngology and Oral and Maxillofacial Surgery
Abstract: Undertaking a microsurgical course is a key adjunct to trainee development in plastic surgery, otololaryngology and oral and maxillofacial surgery. Traditionally, these courses last approximately 5 days and can cost upward of US $2000 (£1500). The North East Microsurgery Training Course and Workshop is a new 2-day course costing just US $760 (£500). This course was set up in 2015 by reconstructive microsurgeon Mr Maniram Ragbir at the Freeman Hospital in Newcastle, England. The aim of the course is provide maximum hands-on experience in microsurgery for surgical trainees interested in relevant speci...
Source: Annals of Plastic Surgery - August 13, 2016 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Text and Context Source Type: research

Citations From Commercial Media and Medical Literature
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - August 13, 2016 Category: Cosmetic Surgery Tags: Editorial Source Type: research

Long-Term Outcomes of Failed Prosthetic Breast Reconstruction
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 19, 2016 Category: Cosmetic Surgery Tags: Letters and Invited Commentary Source Type: research

Triggering of the Digits After Carpal Tunnel Surgery
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 19, 2016 Category: Cosmetic Surgery Tags: Letters and Invited Commentary Source Type: research

Plastic Surgery and the Affordable Care Act
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 19, 2016 Category: Cosmetic Surgery Tags: Letters and Invited Commentary Source Type: research

Pyoderma Gangrenosum After Breast Surgery: Diagnostic Pearls and Treatment Recommendations Based on a Systematic Literature Review
Conclusions: Pertinent clinical features were identified that may aid in timely diagnosis and treatment of PG after breast surgery. Appearance of discrete wounds involving multiple surgical sites that surround but spare the nipples should raise suspicion for PG rather than infection or ischemia, even with concomitant fever and leukocytosis. Wound debridement should be minimized and skin grafting considered only after medical therapy is initiated. Cognizance of these features may enable prompt therapeutic intervention that minimizes morbidity and improves outcomes. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 19, 2016 Category: Cosmetic Surgery Tags: Review Articles Source Type: research

The Impact of Breast Implant Location on the Risk of Capsular Contraction
Conclusion: This analysis demonstrated a more than 2-fold increase in the risk of capsular contraction with subglandular compared to submuscular breast implant location. Clinical Question: Risk (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 19, 2016 Category: Cosmetic Surgery Tags: Review Articles Source Type: research

Effects of Rat Bone Marrow–Derived Mesenchymal Stem Cells and Demineralized Bone Matrix on Cranial Bone Healing
Conclusions: Allogeneic rMSC applications have created a statistically significant radiologic reduction of the bone defect areas at the end of the 12 weeks. The MSC applications have also increased the bone density and changed the healing patterns. Combined use of the DBM and rMSCs has created more osteoinductive responses. This combination can provide better results in craniofacial bone reconstruction. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 19, 2016 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research

A Meta-analysis of Outcomes Using Acellular Dermal Matrix in Breast and Abdominal Wall Reconstructions: Event Rates and Risk Factors Predictive of Complications
Conclusion: This study evaluates the overall complication rates associated with ADM use by conducting a meta-analysis of published data. This will offer physicians a single comprehensive source of information during informed consent discussions as well as an awareness of the risk factors predictive of complications. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 19, 2016 Category: Cosmetic Surgery Tags: Research Source Type: research

Is It Possible to Increase Flap Viability by Hydrostatic Dilation?: An Experimental Study in the Rat Abdominal Fasciocutaneous Flap Model
Introduction: Ergun et al previously demonstrated the efficacy of hydrostatic dilation in a TRAM flap model in an experimental study. We investigated the effect of hydrostatic dilation on a fasciocutaneous flap model. Methods: Eighteen female Wistar rats were equally divided into 3 groups, of which 1 served as a control. In the second, the abdominal fasciocutaneous flap surgical delay procedure was performed by division of the left superficial inferior epigastric (SIE) vessels. In the third, hydrostatic dilation was performed on the left SIE artery and vein, with a mean pressure of 300 mm Hg, while elevating the flap on t...
Source: Annals of Plastic Surgery - July 19, 2016 Category: Cosmetic Surgery Tags: Research Source Type: research

Chlorogenic Acid Enhances Abdominal Skin Flap Survival Based on Epigastric Artery in Nondiabetic and Diabetic Rats
This study showed that CGA significantly improved flap survival by its antioxidant activities with intra-arterial local injections. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 19, 2016 Category: Cosmetic Surgery Tags: Research Source Type: research

Extracorporal Shock Wave Therapy as a Delay Procedure to Improve Viability of Zone 4: An Experimental Study in a Rat TRAM Flap Model
Background: The purpose of this study was to test our hypothesis that preoperative application of radial extracorporeal shock wave therapy (rESWT) as a delay procedure would improve the survival of zone 4 of transverse rectus abdominis musculocutaneous (TRAM) flap and reduce the resulting necrotic area. Methods: Twenty-four Wistar rats were randomized and divided into 3 experimental groups (n = 8 each). Caudally based TRAM flap model, with the right rectus abdominis muscle as the carrier and right inferior epigastric vessels as the vascular pedicle, was used in this study. In group 1 (control), after being raised, the TRA...
Source: Annals of Plastic Surgery - July 19, 2016 Category: Cosmetic Surgery Tags: Research Source Type: research

The Effect of Coenzyme Q10 (Ubiquinone) on Random Pattern Skin Flap Survival in Rat Model
In this study, the effect of coenzyme Q10 (CQ10) on flap survival was investigated. Methods: Fifty Wistar Albino rats were divided into 5 groups. The survival rates of the skin flaps were assessed 10 days after complete elevation of the flaps. Regions of survival and necrosis were drawn on transparent acetate sheets and scanned into a computer. Tissue samples were assessed histopathologically after staining with hematoxylin-eosin, vascular endothelial growth factor staining and terminal deoxynucleotidyl transferase-mediated deoxyuridine triphosphate-Biotin Nick End-labeling staining. To evaluate the antioxidant effect of ...
Source: Annals of Plastic Surgery - July 19, 2016 Category: Cosmetic Surgery Tags: Research Source Type: research

The Protective Effects of Botulinum Toxin A Against Flap Necrosis After Perforator Twisting and Its Underlying Molecular Mechanism in a Rat Model
Purpose: The purpose of this study was to examine our hypotheses that botulinum toxin A (BoTA) protect necrosis of perforator flap from perforator twisting. Methods: Twenty-four rats were randomly divided into 2 groups. Twelve International Units of BoTA versus 1.2 mL normal saline was injected subdermally 3 days before flap elevation. In each group, bilateral before deep inferior epigastric perforator (DIEP) flaps, 5 × 3 cm in size, were created. The right and left (180 and 360 degrees of perforator twisting) DIEP flaps were separated. At 1 and 3 days postoperatively, skin above the perforator of the DIEP flaps was...
Source: Annals of Plastic Surgery - July 19, 2016 Category: Cosmetic Surgery Tags: Research Source Type: research

Understanding and Optimizing the Patient Experience in Breast Reconstruction
Conclusions: Patients undergoing breast reconstruction perceive significant gaps in their knowledge and understanding of expected outcomes. Immediate reconstruction patients and minority racial groups may require additional resources and attention. As a means to improve quality of care, these findings highlight an important unmet need and suggest that improving patient education may be central to providing patient-centered care. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 19, 2016 Category: Cosmetic Surgery Tags: Research Source Type: research

Plastic Surgery Residents' Understanding and Attitudes Toward Biostatistics: A National Survey
Background: An understanding of biostatistics is a critical skill for the practicing plastic surgeon. The purpose of the present study was to assess plastic surgery residents' attitudes and understanding of biostatistics. Methods: This was a cross-sectional study of plastic surgery residents. A survey assessing resident attitudes regarding biostatistics, confidence with biostatistical concepts, and objective knowledge of biostatistics was distributed electronically to trainees in plastic surgery programs in the United States. Bivariate and regression analyses were used to identify significant associations and adjust for c...
Source: Annals of Plastic Surgery - July 19, 2016 Category: Cosmetic Surgery Tags: Research Source Type: research

The Impact of Financial Conflicts of Interest in Plastic Surgery: Are They All Created Equal?
Background: Recently, several studies have demonstrated that articles that disclose conflicts of interests (COI) are associated with publication of positive results. The purpose of this study was to learn more about the different types of COI as they relate to the general topic of COI in plastic surgery. Specifically, we aimed to examine whether different types of COI are more likely than others to be associated with the presentation of positive findings. Methods: We reviewed all original articles in Annals of Plastic Surgery, Journal of Plastic, Reconstructive, and Aesthetic Surgery, and Plastic & Reconstructive Surg...
Source: Annals of Plastic Surgery - July 19, 2016 Category: Cosmetic Surgery Tags: Research Source Type: research

Primary On-top Plasty for Treatment of Short-type Postaxial Polydactyly of the Foot
Conclusions: This on-top procedure is useful for improving toe lengthening and bone alignment correction with minimal functional disturbance. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 19, 2016 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Outcomes After Combined Radical Resection and Targeted Biologic Therapy for the Management of Recalcitrant Hidradenitis Suppurativa
We present our experience with combined biologic and surgical therapy for recalcitrant HS. Methods: Between 2011 and 2014, 21 patients (57 cases) with Hurley Stage III HS underwent radical resection with delayed primary closure alone, or in combination with adjuvant biologic therapy. Demographic data, treatment regimen, outcomes, and complications were retrospectively reviewed for all cases. Results: Eleven patients underwent combined surgical and biologic therapy, whereas radical resection alone was performed in 10 patients. The average soft tissue deficit, before closure, for the combined and surgery-only patients was ...
Source: Annals of Plastic Surgery - July 19, 2016 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Indocyanine Green Lymphographic Signs of Lymphatic Collateral Formation in Lower Extremity Lymphedema After Cancer Resection
Abstract: Indocyanine green lymphography has recently been used to assess lymphatic vessel function in lymphedema patients. Postoperative collateral lymphatic vessels toward ipsilateral axillary lymph nodes are rarely seen above the umbilical level in lower lymphedema patients. Between January 2012 and December 2014, we performed indocyanine green lymphography of 192 limbs in 96 lower extremity lymphedema cases. As a result, dermal back flow appeared in 95 cases, with 38 in the lower abdominal area and 31 in the genital area. We confirmed 3 cases of superficial lymphatic collateral ways extending above the umbilical level ...
Source: Annals of Plastic Surgery - July 19, 2016 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Comparison of Neurosensory Assessment Methods in Plastic Surgery
Abstract: Sensory assessment of the skin is essential to document the function of the sensory fibers of the tested nerves. The Semmes-Weinstein monofilaments, disk-criminator, electrodiagnostic testing, and Pressure-Specified Sensory Device (PSSD) have been currently used to assess sensory function of peripheral nerves. None of these methods is optimal because of different drawbacks; however, an increasing number of articles, which recognize the reliability of PSSD, have been published during the last decade. In this review, following a short overview on basic physiology and assessment methods of the skin sensory receptors...
Source: Annals of Plastic Surgery - July 19, 2016 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

Preoperative Imaging for Thoracic Branch of Supraclavicular Artery Flap: A Comparative Study of Contrast-Enhanced Ultrasound With Three-Dimensional Reconstruction and Color Duplex Ultrasound
Conclusions: The branches of SCA have marked anatomical variations. CEUS with 3D reconstruction has advantages over CDUS for the preoperative assessment of the donor-site vascular supply of TBSA flaps. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 19, 2016 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Surgical Treatment and Recurrence of Cutaneous Nasal Malignancies: A 26-Year Retrospective Review of 1795 Patients
Abstract: Frequent localization of facial malignancies in the nasal area and their required complete surgical extirpation pose a significant challenge to the plastic surgeon, who is called to perform a suitable delicate reconstruction of produced nasal skin defects. The present study was aimed to examine the role of tumor characteristics in the prognosis of patients with nasal skin cancer undergoing surgical management. A retrospective review of 1795 patients operated on for nasal cutaneous neoplasms during a 26-year period is presented in our study. Descriptive statistics were appropriately calculated; multivariate Cox r...
Source: Annals of Plastic Surgery - July 19, 2016 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Strategies for the Optimal Individualized Surgical Management of Craniofacial Fibrous Dysplasia
Background: The surgical management of craniofacial fibrous dysplasia is controversial. The purpose of this study was to report the surgical outcomes of individualized management of craniofacial fibrous dysplasia of a single institution. Methods: Data from patients (n = 20) with craniofacial fibrous dysplasia, who were surgically treated between 2007 and 2014, were analyzed. Surgical approach (radical or conservative surgery) was individualized according to age, craniofacial anatomical site (zones I to IV of Chen and Noordhoff), functional issues, aesthetic impairment, patients/parents’ preferences, and surgical tea...
Source: Annals of Plastic Surgery - July 19, 2016 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Comprehensive and Global Approach of Soft-Tissue Deformities in Craniofacial Neurofibromatosis Type 1
Conclusions: According to the experience and surgical outcomes presented in this study, the soft-tissue surgical approach of the craniofacial NF-1 should be global, comprehensive, and individualized. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 19, 2016 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Surgical Technique for Whistler Deformity Repair in Bilateral Cleft Lip Patients: An Anthropometric Study
Conclusions: The findings suggest that the proposed technique is a good alternative to address the whistler deformity related to the bilateral cleft lip primary repair. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 19, 2016 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research